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Biomedical subjects

P Bazowski

Publications and source records attributed to P Bazowski.

At least 37 records · Page 2Linked to original sources
PubMed1978

Grave cranio-cerebral trauma 30 years ago as cause of the brain glioma at the locus of the trauma particulars of the case.

A glioblastoma multiforma developed 30 years after a penetrating craniocerebral injury in the left parietal region caused by fragments of an artillery projectile. The 3 cm large bone defect was located directly above the tumour. There were close scarry connections between dura, brain and tumour. Partial removal could not prevent the lethal exitus. Causal connection with the accident is assumed to exist.

Brain Injuries↗
PubMed1977

[Hydrocephalus as a late complication of sarcoidosis].

A case of hydrocephalus is described which developed as a late complication of sarcoidosis. In a female patient aged 37 years manifestations of sarcoidosis in the form of Löfgren's syndrome developed 13 years earlier and the diagnosis was confirmed with histological examination of lymph node and bronchial mucosa. After corticoid treatment all manifestations disappeared. In 1975 symptoms of increasing hydrocephalus appeared with violent headaches, visual and hearing disturbances, transient disturbances of consciousness, nausea, vomiting and transient loss of vision with gradually decreasing visual acuity. On the fundus papilloedema was present and angiography and pneumoencephalography demonstrated significant hydrocephalus without shifting of cerebral structures, and without pathological circulation. Surgical treatment (ventriculoatrial shunt) and following corticoid therapy permitted to abolish all symptoms and obtain normalization of eye and improvement of visual acuity.

Adult↗
PubMedDate not supplied

[Anorexia as a symptom of cerebral aneurysm in a 14-year-old boy].

The authors present a very rare case of a child with anterior communicating artery aneurysm and symptoms of anorexia nervosa. Because of coexistence of subarachnoid haemorrhage and head trauma false diagnosis of temporal and frontal lobe contusion was initially established. Headaches, anorexia and cachexia occurred with aneurysm enlargement. Computed tomography and cerebral angiography allowed to indicate operation. After successful surgery all symptoms disappeared.

Adolescent↗
PubMedDate not supplied

[Pineal cyst in MRI: clinical symptoms and analysis].

Application of magnetic resonance imaging (MRI) in radiology allows to estimate and analyse pineal gland and pineal region pathology more precisely. We report 47 MRI brain studies of patients in whom pineal cyst was recognized as the only pathologic finding. MRI of the brain was performed because of clinical symptoms as headaches (32%), vertigo (26%) and altered behaviour (13%). Because of the common occurrence of pineal cyst in MRI brain imaging it seems to be important to decide whether these patients need neurosurgical intervention, especially if together with morphologic abnormality definite clinical symptoms exist.

Adolescent↗
PubMedDate not supplied

[Own experience with the treatment of intracranial aneurysms using "Perneczky" - Zeppelin clips].

The basic design and the mechanism of clip application have not changed for many years. However in cases of aneurysms located deeply inside brain structure, in narrow spaces, multiple aneurysms or those which require applying of several clips the surgeon may have problems with visual control of the position of the clamping arms on the neck of aneurysm, nearby blood vessels and nerve structures. The above mentioned problems motivated prof. Axel Perneczky to construct a new model of clip with an applying and a removing holder whose mechanism is based on the principle of inverted--spring. Between February and August 1998 in the Neurosurgical Clinic in Katowice, 12 Perneczky's clips were applied in 9 patients. Intraoperative complications were not observed in any of the cases. In two cases of aneurysms located on the bifurcation of the basilar artery, application of two clips enabled precise intraoperative control of clip position.

Basilar Artery↗
PubMedDate not supplied

[2 cases of coexistence of meningioma and glioma].

The authors present two cases of a rare coexistence of cerebral meningioma and glioma. In one case meningioma was situated closely to malignant glioma. In the second case in a patient operated on for cerebral glioma a meningioma was removed 20 years later. The meningioma was situated far from the first tumour.

Adult↗
PubMedDate not supplied

[Aneurysms of the anterior communicating artery and anomalies of the anterior part of the circle of Willis].

Aneurysms of the anterior communicating artery are much more frequently encountered in subjects with developmental anomalies of the anterior part of the Willis circle than in the general population. The most frequent anomaly is hypoplasia of the A1 ACa segment, duplication of the anterior communicating artery or accessory artery of the corpus callosum. In the material of the authors of 130 surgically treated cases of the aneurysm situated in the anterior communicating artery complex developmental anomalies were found in 37.7%.

Brain↗
PubMedDate not supplied

[Post-traumatic posterior cranial fossa hematomas from material of the Department of Neurosurgery, Silesian Medical Academy in Katowice].

The location of posttraumatic haematomas in the posterior cranial fossa is rare and the correct diagnosis was difficult before the advent of CT. In the years 1976-1989 in the group of 2450 cases of craniocerebellar injuries treated in the Department of Neurosurgery, Silesian Medical Academy 24 patients had posterior fossa haematomas, but only one of them (out of 550 cases of injuries) was diagnosed without CT. In 20 cases surgical treatment was carried out with good and satisfactory results in 16 cases (80%). The authors stress the importance of early CT and surgical intervention.

Adolescent↗
PubMedDate not supplied

[Aneurysms of the pericallosal region].

Aneurysms of the peripheral parts of the anterior cerebral artery account for from 2.0% to 4.5% of all intracranial aneurysms. Frequent diagnostic difficulties caused by small size of the aneurysm and scant reports in the literature induced the authors to describe 12 cases of pericallosal artery aneurysms. They accounted for 4.1% of all aneurysms treated surgically in the years 1977-1984. Good results were achieved in 66.6% of cases and were related mainly to the initial state of the patient. Postoperative mortality was 16.8% and was related mainly to severe initial state, number of subarachnoid haemorrhages in the history, and vasospasm. The authors consider that the operative risk in pericallosal artery aneurysms is not higher than in aneurysms of other location.

Adult↗
PubMedDate not supplied

[A case of tophus situated in the optic nerve].

Tophi are a characteristic sign of gout. They are situated usually around joints, on tendons, in the skin, intestine and renal tubules. The authors report a rare case of tophus situated in the optic nerve and coexisting with aneurysm of the anterior communicating artery.

Calculi↗
PubMedDate not supplied

[A case of meningioma in the area of the lesser wing of the sphenoid bone coexistent with spindle-shaped aneurysm of the middle cerebral artery].

A fairly rare case of coexistence of intracranial meningioma with aneurysm is reported. Scant reports in the literature point out that the lessons are situated of the unilaterally, and the decrease of intracranial pressure after removal of the expanding lesion causes subarachnoid haemorrhage, even it the aneurysm had not ruptured before the operation. This suggests that both lessons should be managed at one step.

Cerebral Angiography↗
PubMedDate not supplied

[Results of the surgical treatment of intracranial aneurysm].

In the years 1976-1984 in the Department of Neurosurgery, Silesian Medical Academy in Katowice 196 patients were treated surgically for intracranial aneurysms. In the patients with aneurysms in the anterior part of the circulus arteriosus Yasargil's craniotomy was done. In some cases of aneurysms of the posterior cranial fossa suboccipital craniotomy was performed. In 181 cases the aneurysm was isolated by clipping it, in 4 cases it was trapped and in 11 wrapped. Good results were obtained in 60% of cases and bad in 15.9%. Death from extracranial causes occurred in 3 cases. The results of surgical treatment depended on the condition of the patient estimated by the Botterell scale, age, situation of the aneurysm and number of subarachnoid haemorrhages, duration of operation and experience in qualification of patients for surgery and on surgical technique.

Adolescent↗
PubMedDate not supplied

[Aneurysm within the optic nerve. Case report].

In a group of 65 aneurysms of the anterior communicating artery treated in the years 1977 to 1984 in the Department of Neurosurgery, Medical Academy in Katowice in one case the aneurysm had an atypical situation penetrating into the optic nerve. A similar case of an aneurysm of the internal carotid artery was reported in the Polish literature only by Tokarz et al. in 1977.

Adult↗
PubMedDate not supplied

[Traumatic aneurysm of the cortical branch of the middle cerebral artery].

A 22-year-old patient is described in whom sudden deterioration developed on the 9th day after severe craniocerebral trauma. Left common carotid angiography demonstrated an aneurysm on a cortical branch of the middle cerebral artery and subdural haematoma. During the operation the aneurysm was excluded from the circulation.

Adult↗
PubMedDate not supplied

[Acute traumatic epidural hematoma in a 5-month-old infant].

The authors describe a case of acute traumatic epidural haematoma in an infant aged 5 months after slight head injury Acute anaemia coexisted. In view of the rarity of this complication after craniocerebral trauma in this age group and clinical distinctness of epidural haematomas in children this possibility should be considered in the differential diagnosis of sequelae of head trauma in infants.

Acute Disease↗